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Ludwig Angina
Arch Otolaryngol Head Neck Surg. 1999;125:599.
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In addition to the sublingual and submaxillary spaces, we have found that the lateral pharyngeal space is usually involved in Ludwig angina to some extent. This has been brought to our attention now that we use computed tomography to determine the extent of the infection. The infection is usually bilateral, although the sublingual space is divided in the midline by the genioglossus and hyoglossus muscles.
Figure appears in full text version.
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From 98% to 99% of Ludwig angina infections are odontogenic, with the anterior teeth responsible for the initial sublingual space infection, while the second and third molars, whose apical abscesses tend to perforate the lingual cortex of the mandible below the mylohyoid insertion, cause an initial submaxillary space infection. The inflammation is typically caused by cellulitis but can have a component of gangrenous myositis.
On my service, as well as the oromaxillofacial service, Ludwig angina is a surgical disease treated . . . [Full Text of this Article]
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